Permit r� J•
CITY OF TI GARD MECHANICAL PERMIT
Awovie PERMIT #: MEC2003 -00485
�l I� DEVELOPMENT SERVICES DATE ISSUED: 8/12/03
' II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135BA-00102
SITE ADDRESS: 10206 SW WASHINGTON SQUARE RD C3 -15
SUBDIVISION: OAKBURG ZONING: C -G
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - .15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: Change out roof top HVAC unit.
Owner: FEES
PPR SQUARE TOO LLC Description Date Amount
BY MACERICH COMPANY [MECH] Permit Fee 8/12/03 $72.50
ATTN: JANET FISHER, ASSET MGMT
SANTA MONICA, CA 90407 [TAX] 8% StateTax 8/12/03 $5.80
Phone: Total $78.30
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON
STE 1 REQUIRED INSPECTIONS
PORTLAND, OR 97202
Phone: Heating Unt Insp
hone: 239 - 4600
Final Inspection
Reg #: LIC 33135
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in • R 952 -001 -00
Issued By: t, 4 gor , ✓ Permittee Signature:J' . Ner
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next b. iness day
Mechanical Permit Application OITICE USE ONLY
Date received- i; Permit no .■ L ( ='�
,0,1- �:� { City �� Project no.: Expire date: 00 -fie5
City of Tigard Address: 1 1312 OR 97223
Phone: (503) 639 Date issued: BO V -7 Receipt no.:
Fax: (503) 598AU6p 1 2 1003 Case file no.: Payment type:
Land use awrr TIGAI1D -7C Building permit no.:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory l9tommercial/industrial O Multi - family ❑ Tenant improvement
❑ New construction Ce Addi tion/alteration /replacement ❑ Other:
JOB SITE INFORMATION COMMERCIAL VALUATION SCIIEDULE
Job address: /O,ot sow &Lax 4 ;044 T OIV $q 120.4 . Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite nd.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ Ll S' 0 0.O"V .
Lot: (Block: I Subdivision: *See checklist for important application information and
Project name: /J.bAm3 ti- m0A t..Ee 1 jurisdiction's fee schedule for residential permit fee.
City /county: j viata 0 I mo: 91 0o5 ' 1 & 21 FAMILY DWELLING PERMIT' FEE SCHEDULE
Description and location of work on premises: Rnr c.1C. / AND COMIMIERICALIINDUSTRIAL EQUIPYI ENT SCHEDULE
I J V A c. Roof -r op Laois r (Ll _ d ? ) Fee (ea.) Total
Est. date of completion/inspection: • Description Qty. Res. only Res. only
Tenant improvement or change of use: ' HVAC:
Is existing space heated or conditioned ?'l]'Y' Air handling unit CFM
es ❑ No
Is existing space insulated? Bites ❑ No Air conditioning (site plan required) Alteration of existing HVAC system .
g P
MECHANICAL CONTRACTOR Boiler /compressors
Business ate boiler permit no.:
usiness name:
AiIlErlCdI1 Heating. inc. II1dC HP Tons BTU/H
Address: 1339 SE Gideon St. Fire/smoke dampers/duct smoke detectors
City: Portland I State: OR I ZIP: 97202 -2418 Heat pump (site plan required)
Phone: 239 - 4600 I Fax: 239 -70381 E -mail: Install/replace furnace/burner BTU/H ,
CCB no.: ��� Including ductwork/vent liner 0 Yes 0 No
35 Install/replace/relocate heaters - suspended,
City /metro lic. no.: 60114 wall, or floor mounted
Name (please print): Vent for appliance other than furnace ,
CONTACT PERSON Refrigeration:
Absorption units BTU/H
Name: Chillers HP
Address: Compressors HP
Environmental exhaust and ventilation:
City: I State: I ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
011'1VER Hoods, Type U II/res. kitchen/hazmat
!] hood fire suppression system
Name: l a1 s .I• )(Jo ra lee Exhaust fan with single duct (bath fans)
Mailing address: / 0.2O F 'co 7014 fg 1Qo4 rt heating or cos p I stamp R.1 ZI P: F Exhaust system apart piping and distribution (up to
City: �
4 AC outlets)
\j � 7 0 05 Type: LPG NG Oil
Phone: Fax: E -mail: Fuel pi in�g each additional over 4 outlets
Process p — i i ng (schematic required)
Name: Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: ZIP: Insert - type
Phone: F .1. -mail: Woodstove/pellet stove
A IWA/Mill
Other:
Applicant's signature: Date: , ■ Other:
Name (print): 'era -1 Syr,,tITt -t -�j
Not all jurisdictions accept credit cards, please call jurisdicuon for more information. Permit fee $ /
m
0 Visa 0 MasterCard Notice: This permit application Minimum fee $
Credit card number: / / expires if a permit is not obtained Plan review (at _ %) $
Expires within 180 days after it has been State surcharge (8 %) .... $ 5
Name of cardholder as shown on credit card accepted as complete. TOTAL $ ' 30
Cardholder signature Amount 440 -4617 (6/00/COM)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIV,SION Business Line: (503) 639 -4171 MST
// BUP
Received Date Requested a�( f� AM PM BUP
Location /0 2 0 ( o c g u i Wet- S : - i d . , , ; Suite ' MEC 3-- 00445"
Contact Person (AA ' - d )ice Ph (,'V ) A PLM
Contractor, 2. At s a44 • Ph (_ '.q3- 2 .z &i( SWR
1 BUILDING Tenant/Owner 4 12 1 - Q - � ,� _ I 1 ELC.
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: - SIT
Post & Beam �e J ./t.1.44 J
Ext Sr Sh ea t h /SSh ear r _ ��� y� _ _ e i i f _
Ext eah/h � -t'/�P ��P
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL .
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
T FAIL ---\CP .
0
MECHAN
eam
Rough -In
Gas Line
S kA Dampers
Fi
SS PART FAIL
ICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for einspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 401P Inspector v' ' Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL